Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAMIA CUSTODIO
Active Sole ProprietorCAMIA CUSTODIO is a Clinic/Center healthcare provider located in SAN JOSE, Illinois. NPI 1730520644 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · SAN JOSE, IL
Registration Details
- NPI Number
- 1730520644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2013 (13.095928094272 yrs)
- Last Updated
- Jul 9, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 S 4TH STSAN JOSE, IL, 626829527Browse IL providers · Browse ZIP 62682
- Phone
- 3092471203
- Primary Specialty
-
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.